Office of Developmental Programs Employment Services
Office of Developmental Programs Employment Services Knowledge Building: Agency Information August 11, 2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
ODP Waivers and Who We Serve • Consolidated and Person/Family Directed Support (P/FDS) Waivers – Individuals of any age with an intellectual disability or autism. – Individuals age 0 through 8 with a developmental disability with a high probability of resulting in an intellectual disability or autism.
• Adult Autism Waiver – Individuals age 21 and older with a diagnosis of autism.
• Adult Community Autism Program – Individuals age 21 and older with a diagnosis of autism. – Offered in Dauphin, Lancaster, Cumberland and Chester counties www.dhs.pa.gov
www.dpw.state.pa.us
>
Drivers of Change Advocacy
Workforce Innovation and Opportunity Act (WIOA)
Everyday Lives Gov’s Exec. Order Employment 1st
CMS HCBS Rule
Americans with Disabilities Act (ADA)
3
Everyday Lives: Values Into Action
EMPLOYMENT/MEANINGFUL CONTRIBUTION: I want to work and/or have other ways to contribute to my community. My family, supporters, and community support me to find and keep a real job that I like with good wages and benefits or start and run my own business, and/or volunteer the way I want in my community.
www.dhs.pa.gov
www.dpw.state.pa.us
>
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
5
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
6
CMS HCBS Rule
• Regulatory Requirements for Home and CommunityBased Settings (HCBS): – The setting is integrated in and supports full access of individuals receiving Medicaid HCBS to the greater community, including opportunities to seek employment and work in competitive integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree of access as individuals not receiving Medicaid HCBS.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
7
WIOA Signed by President Barack Obama on July 22, 2014 “WIOA is designed to help job seekers access employment, education, training and support services to succeed in the labor market and match employers with the skilled workers they need to compete in the global economy.”
https://www.doleta.gov/wioa/Overview.cfm www.dhs.pa.gov
www.dpw.state.pa.us
>
Governor’s Executive Order • Executive Order: 2016-03 – Establishing “Employment First” Policy and Increasing Competitive Integrated Employment for Pennsylvanians with a Disability – The executive order establishes policy for agencies under the Governor’s jurisdiction, requiring competitive-integrated employment be the first consideration and preferred outcome of all publicly-funded education, employment and training, and long-term supports and service programs for working-age Pennsylvanians with a disability.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
9
Services and Supports are Evolving
Everyone exists within the context of family and community
Traditional Disability Services
www.dhs.pa.gov
Integrated Services and Supports within context of person, family and community
www.dpw.state.pa.us
>
Services To Achieve and Support Competitive Integrated Employment Supported Employment Advanced Supported Employment (New) Small Group Employment (Formerly Transitional Work) Benefits Counseling (New) 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
11
Supported Employment • Supported Employment services are provided in a variety of community settings for the purposes of supporting participants in obtaining and sustaining competitive integrated employment. Competitive integrated employment refers to full or part-time work at minimum wage or higher, with wages and benefits similar to workers without disabilities performing the same work, and fully integrated with coworkers without disabilities.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
12
Supported Employment • Supported Employment services include activities such as training and additional supports including worksite orientation, job aide development, coordination of accommodations and ensuring assistive technology that may be needed by the participant to obtain and sustain competitive integrated employment is utilized as specified in the plan. • Supported Employment services consist of three components: career assessment, job finding or development, and job coaching and support.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
13
Advanced Supported Employment • An enhanced version of supported employment services that includes discovery, job development, systematic instruction to learn the key tasks and responsibilities of the position and intensive job coaching and supports that lead to job stabilization and retention.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
14
Advanced Supported Employment • Advanced Supported Employment is paid on an outcome basis. Providers are paid for three separate outcomes: 1. Discovery Profile 2. Securing a Job 3. Retention of Job
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
15
Small Group Employment • Small Group Employment services consist of supporting participants in transitioning to competitive integrated employment through work that occurs in a location other than a facility subject to 55 Pa. Code Chapter 2380 or Chapter 2390 regulations. • Participants receiving this service must have a competitive integrated employment outcome included in their service plan, and it must be documented in the service plan how and when the provision of this service is expected to lead to competitive integrated employment. 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
16
Small Group Employment • Small Group Employment service options include mobile work force, work station in industry, affirmative industry, and enclave. – A Mobile Work Force uses teams of individuals, supervised by a training/job supervisor, who conduct service activities at a location away from an agency or facility. The provider agency contracts with an outside organization or business to perform maintenance, lawn care, janitorial services, or similar tasks and the individuals are paid by the provider.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
17
Small Group Employment – A Work Station in Industry involves individual or group training of participants at an industry site. Training is conducted by a provider training/job supervisor or by a representative of the industry, and is phased out as the participant(s) demonstrates job expertise and meets established work standards. – Affirmative Industry is a business that sells products or services where at least 51% of the employees do not have a disability. – Enclave is a business model where participants with a disability are employed by a business/industry to perform specific job functions while working alongside workers without disabilities.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
18
This service is appropriate for:
Advanced Supported Employment
Supported Employment
Small Group Employment
People interested in competitive integrated employment who have little or no work experience; or
People interested in competitive integrated employment who have little or no work experience; or
People who need to gain work skills to achieve competitive integrated employment and are interested and would benefit from experience in a mobile work force, a work station in industry, affirmative industry or enclave to learn those skills.
People who have used Supported Employment and were unable to secure a job or keep a job for more than 6 months.
8/14/2017
People who are currently employed but need extended supports to maintain their current job; or
People who are currently employed but are interested if finding a new job.
www.dhs.pa.gov
www.dpw.state.pa.us
>
19
Advanced Supported Employment Wages
Small Group Employment
Employer pays minimum wage or higher.
Staff to Not Applicable, Individual outcome based Ratios: service
8/14/2017
Supported Employment
1:1 1:2
www.dhs.pa.gov
1:10 to1:6 1:6 to 1:3.5 1:3.5 to >1:1 1:1
www.dpw.state.pa.us
>
20
Advanced Limits Supported Employment
Supported Employment
Small Group Employment
Advanced Supported Employment and Supported Employment services may not be authorized during the same time period.
Providers cannot also be the employer. Limits: Outcome based service, no limit on hours.
When not provided with any other employment service the hours cannot exceed 40 per week. When provided in conjunction with other employment services, the hours cannot exceed 50 per week.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
21
On The Job Companion Support Advanced Supported Employment
Supported Employment
On The Job Companion services may be Companion provided at the same time as these Support services to support the individual with personal care needs.
8/14/2017
www.dhs.pa.gov
Small Group Employment Support with personal care needs is included as part of the Small Group Employment service. Companion services may not be authorized for this.
www.dpw.state.pa.us
>
22
Provider Qualifications Advanced Supported Employment
Supported Employment
Who:
Staff who work Staff who work directly directly with the with the participant to participant to provide provide the service. the service.
When and What:
7/1/17 Education and/or experience; AND
8/14/2017
Small Group Employment
1/1/19 Certified Employment Support Professional or Basic Employment Services Certificate of Achievement Effective 11/1/18, newly Advanced Supported hired staff who do not have the required Employment certification when hired must work under certification the supervision of someone who is> certified 23 www.dpw.state.pa.us www.dhs.pa.gov (for max 60 days post-hire).
Benefits Counseling • Through accurate individualized assessment, this service provides information to the participant regarding the full array of available work incentives for essential benefit programs including Supplemental Security Income, SSDI, Medicaid, Medicare, housing subsidies, food stamps, etc. • Provided by Certified Work Incentive Counselor • Limit 10 hours annually • Available only after service sought and unavailable through PA’s Work Incentive Planning and Assistance programs (WIPAs) 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
24
Services To Achieve and Support Volunteer Work and Prevocational Activities Community Participation Support In-Home and Community Support Companion
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
25
Community Participation Support • Community Participation Support provides opportunities and support for community inclusion and building interest in and developing skills and potential for competitive integrated employment. Services should result in active, valued participation in a broad range of integrated activities that build on the participant's interests, preferences, gifts, and strengths while reflecting his or her desired outcomes related to employment, community involvement and membership.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
26
Community Participation Support • Activities include the following supports for: – Developing skills and competencies necessary to pursue competitive integrated employment; – Participating in community activities, organizations, groups, associations or clubs to develop social networks; – Identifying and participating in activities that provide purpose and responsibility; – Participating in volunteer opportunities; – Learning to navigate the local community, including learning to use public and/or private transportation and other transportation options available in the local area;
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
27
In-Home and Community Support • In-Home and Community Support is a direct service provided in home and community settings to assist participants in acquiring, maintaining and improving the skills necessary to live in the community, to live more independently, and to participate meaningfully in community life. • Assistance, support and guidance provided to enable a person to exercise rights as a citizen and fulfill their civic responsibilities such as voting and serving on juries; attending public community meetings; to participate in community projects and events with volunteer associations and groups; to serve on public and private boards, advisory groups, and commissions, as well as develop confidence and skills to enhance their contributions to the community. 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
28
Companion • This service is intended to assist the individual to participate more meaningfully in home and community life. • This service may be provided in home and community settings, including the participant’s competitive employment work place. • Companion services are used in lieu of In-Home and Community Support when a habilitative outcome is not appropriate or feasible (i.e. when the professional providing the service mainly does activities for the person or supervises the person versus assisting the person to learn, enhance or maintain a skill). 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
29
Resources Consolidated Waiver http://www.dhs.pa.gov/learnaboutdhs/waiverinformation/co nsolidatedwaiverforindividualswithintellectualdisabilities/ind ex.htm P/FDS Waiver http://www.dhs.pa.gov/learnaboutdhs/waiverinformation/pe rsonfamilydirectedsupportwaiver/index.htm MyODP – Everyday Lives, Community of Practice and much more! https://www.myodp.org/ 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
30
www.dhs.pa.gov
www.dpw.state.pa.us
>
ODP Waivers and Who We Serve • Consolidated and Person/Family Directed Support (P/FDS) Waivers – Individuals of any age with an intellectual disability or autism. – Individuals age 0 through 8 with a developmental disability with a high probability of resulting in an intellectual disability or autism.
• Adult Autism Waiver – Individuals age 21 and older with a diagnosis of autism.
• Adult Community Autism Program – Individuals age 21 and older with a diagnosis of autism. – Offered in Dauphin, Lancaster, Cumberland and Chester counties www.dhs.pa.gov
www.dpw.state.pa.us
>
Drivers of Change Advocacy
Workforce Innovation and Opportunity Act (WIOA)
Everyday Lives Gov’s Exec. Order Employment 1st
CMS HCBS Rule
Americans with Disabilities Act (ADA)
3
Everyday Lives: Values Into Action
EMPLOYMENT/MEANINGFUL CONTRIBUTION: I want to work and/or have other ways to contribute to my community. My family, supporters, and community support me to find and keep a real job that I like with good wages and benefits or start and run my own business, and/or volunteer the way I want in my community.
www.dhs.pa.gov
www.dpw.state.pa.us
>
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
5
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
6
CMS HCBS Rule
• Regulatory Requirements for Home and CommunityBased Settings (HCBS): – The setting is integrated in and supports full access of individuals receiving Medicaid HCBS to the greater community, including opportunities to seek employment and work in competitive integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree of access as individuals not receiving Medicaid HCBS.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
7
WIOA Signed by President Barack Obama on July 22, 2014 “WIOA is designed to help job seekers access employment, education, training and support services to succeed in the labor market and match employers with the skilled workers they need to compete in the global economy.”
https://www.doleta.gov/wioa/Overview.cfm www.dhs.pa.gov
www.dpw.state.pa.us
>
Governor’s Executive Order • Executive Order: 2016-03 – Establishing “Employment First” Policy and Increasing Competitive Integrated Employment for Pennsylvanians with a Disability – The executive order establishes policy for agencies under the Governor’s jurisdiction, requiring competitive-integrated employment be the first consideration and preferred outcome of all publicly-funded education, employment and training, and long-term supports and service programs for working-age Pennsylvanians with a disability.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
9
Services and Supports are Evolving
Everyone exists within the context of family and community
Traditional Disability Services
www.dhs.pa.gov
Integrated Services and Supports within context of person, family and community
www.dpw.state.pa.us
>
Services To Achieve and Support Competitive Integrated Employment Supported Employment Advanced Supported Employment (New) Small Group Employment (Formerly Transitional Work) Benefits Counseling (New) 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
11
Supported Employment • Supported Employment services are provided in a variety of community settings for the purposes of supporting participants in obtaining and sustaining competitive integrated employment. Competitive integrated employment refers to full or part-time work at minimum wage or higher, with wages and benefits similar to workers without disabilities performing the same work, and fully integrated with coworkers without disabilities.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
12
Supported Employment • Supported Employment services include activities such as training and additional supports including worksite orientation, job aide development, coordination of accommodations and ensuring assistive technology that may be needed by the participant to obtain and sustain competitive integrated employment is utilized as specified in the plan. • Supported Employment services consist of three components: career assessment, job finding or development, and job coaching and support.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
13
Advanced Supported Employment • An enhanced version of supported employment services that includes discovery, job development, systematic instruction to learn the key tasks and responsibilities of the position and intensive job coaching and supports that lead to job stabilization and retention.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
14
Advanced Supported Employment • Advanced Supported Employment is paid on an outcome basis. Providers are paid for three separate outcomes: 1. Discovery Profile 2. Securing a Job 3. Retention of Job
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
15
Small Group Employment • Small Group Employment services consist of supporting participants in transitioning to competitive integrated employment through work that occurs in a location other than a facility subject to 55 Pa. Code Chapter 2380 or Chapter 2390 regulations. • Participants receiving this service must have a competitive integrated employment outcome included in their service plan, and it must be documented in the service plan how and when the provision of this service is expected to lead to competitive integrated employment. 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
16
Small Group Employment • Small Group Employment service options include mobile work force, work station in industry, affirmative industry, and enclave. – A Mobile Work Force uses teams of individuals, supervised by a training/job supervisor, who conduct service activities at a location away from an agency or facility. The provider agency contracts with an outside organization or business to perform maintenance, lawn care, janitorial services, or similar tasks and the individuals are paid by the provider.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
17
Small Group Employment – A Work Station in Industry involves individual or group training of participants at an industry site. Training is conducted by a provider training/job supervisor or by a representative of the industry, and is phased out as the participant(s) demonstrates job expertise and meets established work standards. – Affirmative Industry is a business that sells products or services where at least 51% of the employees do not have a disability. – Enclave is a business model where participants with a disability are employed by a business/industry to perform specific job functions while working alongside workers without disabilities.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
18
This service is appropriate for:
Advanced Supported Employment
Supported Employment
Small Group Employment
People interested in competitive integrated employment who have little or no work experience; or
People interested in competitive integrated employment who have little or no work experience; or
People who need to gain work skills to achieve competitive integrated employment and are interested and would benefit from experience in a mobile work force, a work station in industry, affirmative industry or enclave to learn those skills.
People who have used Supported Employment and were unable to secure a job or keep a job for more than 6 months.
8/14/2017
People who are currently employed but need extended supports to maintain their current job; or
People who are currently employed but are interested if finding a new job.
www.dhs.pa.gov
www.dpw.state.pa.us
>
19
Advanced Supported Employment Wages
Small Group Employment
Employer pays minimum wage or higher.
Staff to Not Applicable, Individual outcome based Ratios: service
8/14/2017
Supported Employment
1:1 1:2
www.dhs.pa.gov
1:10 to1:6 1:6 to 1:3.5 1:3.5 to >1:1 1:1
www.dpw.state.pa.us
>
20
Advanced Limits Supported Employment
Supported Employment
Small Group Employment
Advanced Supported Employment and Supported Employment services may not be authorized during the same time period.
Providers cannot also be the employer. Limits: Outcome based service, no limit on hours.
When not provided with any other employment service the hours cannot exceed 40 per week. When provided in conjunction with other employment services, the hours cannot exceed 50 per week.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
21
On The Job Companion Support Advanced Supported Employment
Supported Employment
On The Job Companion services may be Companion provided at the same time as these Support services to support the individual with personal care needs.
8/14/2017
www.dhs.pa.gov
Small Group Employment Support with personal care needs is included as part of the Small Group Employment service. Companion services may not be authorized for this.
www.dpw.state.pa.us
>
22
Provider Qualifications Advanced Supported Employment
Supported Employment
Who:
Staff who work Staff who work directly directly with the with the participant to participant to provide provide the service. the service.
When and What:
7/1/17 Education and/or experience; AND
8/14/2017
Small Group Employment
1/1/19 Certified Employment Support Professional or Basic Employment Services Certificate of Achievement Effective 11/1/18, newly Advanced Supported hired staff who do not have the required Employment certification when hired must work under certification the supervision of someone who is> certified 23 www.dpw.state.pa.us www.dhs.pa.gov (for max 60 days post-hire).
Benefits Counseling • Through accurate individualized assessment, this service provides information to the participant regarding the full array of available work incentives for essential benefit programs including Supplemental Security Income, SSDI, Medicaid, Medicare, housing subsidies, food stamps, etc. • Provided by Certified Work Incentive Counselor • Limit 10 hours annually • Available only after service sought and unavailable through PA’s Work Incentive Planning and Assistance programs (WIPAs) 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
24
Services To Achieve and Support Volunteer Work and Prevocational Activities Community Participation Support In-Home and Community Support Companion
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
25
Community Participation Support • Community Participation Support provides opportunities and support for community inclusion and building interest in and developing skills and potential for competitive integrated employment. Services should result in active, valued participation in a broad range of integrated activities that build on the participant's interests, preferences, gifts, and strengths while reflecting his or her desired outcomes related to employment, community involvement and membership.
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
26
Community Participation Support • Activities include the following supports for: – Developing skills and competencies necessary to pursue competitive integrated employment; – Participating in community activities, organizations, groups, associations or clubs to develop social networks; – Identifying and participating in activities that provide purpose and responsibility; – Participating in volunteer opportunities; – Learning to navigate the local community, including learning to use public and/or private transportation and other transportation options available in the local area;
8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
27
In-Home and Community Support • In-Home and Community Support is a direct service provided in home and community settings to assist participants in acquiring, maintaining and improving the skills necessary to live in the community, to live more independently, and to participate meaningfully in community life. • Assistance, support and guidance provided to enable a person to exercise rights as a citizen and fulfill their civic responsibilities such as voting and serving on juries; attending public community meetings; to participate in community projects and events with volunteer associations and groups; to serve on public and private boards, advisory groups, and commissions, as well as develop confidence and skills to enhance their contributions to the community. 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
28
Companion • This service is intended to assist the individual to participate more meaningfully in home and community life. • This service may be provided in home and community settings, including the participant’s competitive employment work place. • Companion services are used in lieu of In-Home and Community Support when a habilitative outcome is not appropriate or feasible (i.e. when the professional providing the service mainly does activities for the person or supervises the person versus assisting the person to learn, enhance or maintain a skill). 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
29
Resources Consolidated Waiver http://www.dhs.pa.gov/learnaboutdhs/waiverinformation/co nsolidatedwaiverforindividualswithintellectualdisabilities/ind ex.htm P/FDS Waiver http://www.dhs.pa.gov/learnaboutdhs/waiverinformation/pe rsonfamilydirectedsupportwaiver/index.htm MyODP – Everyday Lives, Community of Practice and much more! https://www.myodp.org/ 8/14/2017
www.dhs.pa.gov
www.dpw.state.pa.us
>
30
